DR. EDWARD A M DUCKWORTH (NPI# 1003038043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003038043 |
| Entity Type | Individual |
| Full Name | DR. EDWARD A M DUCKWORTH |
| Credential | MD |
| Practice Address |
1709 Dryden Rd Suite 750 - Department of Neurosurgery Houston TX 77030-2400 |
| Practice Telephone | 7137984946 |
| Practice Fax Number | 7137983739 |
| Mailing Telephone | 7137984946 |
| Mailing Fax Number | 7137983739 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | N2478 | TX | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 036116403 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1709 DRYDEN RD SUITE 750 - DEPARTMENT OF NEUROSURGERY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093761454 | David George Alleman | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2006-05-26 |
| 1053750489 | Visish Mani Srinivasan | Neurological Surgery | 1709 Dryden Rd, Ste 750, Houston, TX 77030-2400 | 2013-06-19 |
| 1578900346 | Kwasi Botwe Mensah | Student in an Organized Health Care Education/Training Program | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-06-03 |
| 1831535996 | Jonathan Shimon Goldberg | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-05-16 |
| 1285078691 | Anabelle Outar | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-29 |
| 1144664798 | Ata-ul Rahman | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-25 |
| 1265876148 | Brian Christopher Deaver | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-23 |
| 1104269570 | Julie Sarah Schackman | Anesthesiology | 1709 Dryden Rd, Suite 1700, Houston, TX 77030-2400 | 2013-04-16 |
| 1326481870 | Bhavini Patel Murthy | Internal Medicine | 1709 Dryden Rd, Suite1700, Ms: Bcm 120, Houston, TX 77030-2400 | 2013-04-15 |
| 1508128992 | Yasmin Moolani | Internal Medicine | 1709 Dryden Rd, #5.70, Houston, TX 77030-2400 | 2012-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506803 | Houston Texas Neurosurgical Institute. Pllc | Neurological Surgery | 925 Gessner Rd Ste 500, Houston, TX 77024-2644 | 2020-04-09 |
| 1861975922 | Neurosurgical Group of Texas, LLP | Neurological Surgery | 8731 Katy Fwy Ste 325, Houston, TX 77024-1703 | 2018-09-13 |
| 1487168241 | Prime Orthopedic Pllc | Neurological Surgery | 2416 W Holcombe Blvd Ste B, Houston, TX 77030-1902 | 2017-11-30 |
| 1134574460 | Jonathan Lee | Neurological Surgery | 6565 Fannin St # R2-216, Houston, TX 77030-2703 | 2016-04-23 |
| 1306184064 | Houston Brain and Spine, LLC | Neurological Surgery | 2616 Mason St, Houston, TX 77006-3116 | 2013-01-30 |
| 1962758805 | Devry Saenz | Neurological Surgery | 2727 Revere St, 2012, Houston, TX 77098-1328 | 2012-07-30 |
| 1083974273 | Patrick Shih, M.d., P.a. | Neurological Surgery | 10319 Meadow Lake Ln, Houston, TX 77042-2953 | 2012-05-21 |
| 1053625624 | Jonathan Sellin | Neurological Surgery | 6560 Fannin St Ste 1200, Houston, TX 77030-2726 | 2010-08-05 |
| 1255652301 | Patrick Shih | Neurological Surgery | 12121 Richmond Ave Ste 104, Houston, TX 77082-2420 | 2010-06-11 |
| 1225357940 | Eric Momin | Neurological Surgery | 7200 Cambridge Street, Bcm 650, Houston, TX 77030 | 2010-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.